Alberta Esi Quaidoo, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6386 Issued in WA

Practice address

509 Olive Way Ste 1033
Seattle, WA 98101-1724

Phone

(800) 979-4189

Fax

(425) 278-7094

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Matters Inc.

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1093054579
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1396950879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1033",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011724",
            "telephone_number": "800-979-4189",
            "fax_number": "425-278-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1033",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011724",
            "telephone_number": "800-979-4189",
            "fax_number": "425-278-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAIDOO",
        "first_name": "ALBERTA",
        "middle_name": "ESI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA. STATE LICENSE #",
            "identifier": "6386",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091650",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS PROVIDER #",
            "identifier": "06936",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalyna Quach
• Tam Quach, DO
• Trang Doan Quach
• Dana Elizabeth Quade, LMP MASSAGE RC COUNS
• Lekan Kamil Quadri, RC
• Anthony Quail, L.AC., EAMP
• Elizabeth Quakenbush
• Quality Life Hearing Clinic
• Julie P Quamma, PH.D.
• Allycen Quan

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.